Individual
SEVEN B CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 ETHAN WAY STE 175, SACRAMENTO, CA 95825-2277
(916) 996-0768
Mailing address
3161 DWIGHT RD, ELK GROVE, CA 95758-6456
(866) 523-4268
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
09/03/2025
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